| Wallace B Brucker, MD | |
|
321 Butts Ave, Tomah, WI 54660-1412 | |
| (608) 374-0303 | |
| Not Available |
| Full Name | Wallace B Brucker |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 321 Butts Ave, Tomah, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831285881 | NPI | - | NPPES |
| 34706400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 48603 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Richland Hospital | Richland center, WI | Hospital |
| Black River Memorial Hospital | Black river falls, WI | Hospital |
| Tomah Memorial Hospital | Tomah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tomah Memorial Hospital Inc | 6901897016 | 42 |
| Richland Hospital | 7618861618 | 63 |
| Black River Health Inc | 3173431178 | 52 |
| Entity Name | Mile Bluff Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618 |
| Entity Name | Reedsburg Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891796710 PECOS PAC ID: 9830008259 Enrollment ID: O20031208000083 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20061104000654 |
| Entity Name | Richland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace B Brucker, MD 321 Butts Ave, Tomah, WI 54660-1412 Ph: () - | Wallace B Brucker, MD 321 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 374-0303 |
Richard William Banks, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 843-338-2895 | |
Dr. Paul Liebert, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 321 Butts Ave, Tomah, WI 54660 Phone: 608-372-2181 | |
Aaron M.k. Butler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |